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07031 (SFD)P.O. BOX 1504 N o . �•. •� Building 78-105 CALLE ESTADO Address 54-236 Shot Creek LA QUINTA, CALIFORNIA 92253 Owner Sunrise Company Mailing BUILDING:' TYPE CONST. OCC: GRP. Address42 600 Cook air. Suite 200 A.P. Number PGA WEST - phase 25 City Zip Tel. Palm -Desert 922610 568-2828 Legal Description Traci 24$27-2 Contractor Project Description• Plan. 4CR fletional Wrtnace Land Address • . Sarre City Zip Tel.: State Lic. City & Classif. 288130 Lic. # • 328 Sq. Ft. 1328 No. No. Dw: Size - Stories Units Arch., Engr., - Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑. Address' Tel. City Zip State s Lic. # LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ' 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. x p. r i =rrS SIGNATURE ! - DATE ' OWNER -BUILDER DECLARATION Estimated Valuation' t 3 C I hereby affirm that I am exempt from the Contractors License Law for the following $132,816 reason: (Sec.'. 7031.5,Business. and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to -PERMIT ' the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis " for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep. subjects the applicant to a civil penalty of not more than five hundred dollars (8500). O I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. X64. Gti . do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. .! �J 'Professions Code: The Contractor's License Law does not apply, to an owner of property who . 00 builds or improves thereon and who does such work himself or through his own employees,Mech. 51 00 ., provided that such Improvements are not intended or offered for sale. If, however, the building qt • ' or improvement Is sold within one year of completion, the owner -builder will have the burden Electrical Alt of proving that he did not build or improve for the purpose of sale.) •' 04 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to torr Plumbing 131.00 '`- struct the project. (Sec. 7044; Business and Professions Code: The Contractor's License Law �� -v^: 'w does not apply to an owner of properly who builds or improves thereon, and who contracts for S -M.1. • ^ • such projects with a contractors) licensed pursuant to the Contractor's License Law.) '� ❑ 1 am exempt under Sec B. 8 P.C. for this reason Grading Driveway Enc. Date Owner Infrastructure $2,988.36 1';494.1$ Less Credit 1,494.18 • WORKERS' COMPENSATION DECLARATION I hereby affirm that 1 have a certificate of consent to self -insure, or a certificate of ' Workers Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy.is filed with the city. ❑ Certified copy is hereby furnished. TOTAL 43s116,79 CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE REMARKS +t h i,�}_ a fi ✓i +#1 41-ri..-4 A • . his section need not be($100):i »=:'8K 3 is »�+r r<-s.� a a.• ., a..,a .. ._ (T completed ff the permit is for one hundred dollars valuation or less.) . I certify that in the performance of thg work for which this permit is issued, I shall not - • employ any pperson in any manner so as to become subject to the Workers' Compensation Laws of Calmf0 nia Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should'become- •ZONE: BY: ' subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this Permit shall be deemed revoked. - Minimum Setback Distances:. Front.Setback from Center Line , Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lenders Name- Lender's Address FINAL DATE INSPECTOR This is a building pernit'when properly filled out, signed and validated, and is subject to �'� /� expiration if work thereunder is suspended for 180 days. I certify that I have read this application and state that the'above information is correct. Issued by: Date Permit I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives •of this city to enter the above-. I! mentioned property for inspection purposes Validated by: —� Signature of applicant Date Mailing Address Validation: City,'- State, Zip CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. ® $ UNITS COLL AREA S B GRADES - ROUGH PLUMB. YARD SPKLR SYSTEM 2ND FL SQ. FT. ® HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® DUCT WORK ROCK STORAGE FOUND. REINF. ':3—/ �C� POWER OUTLET ROOF DRAINS GAR. SO. FT. ® HEATING (FINAL) I REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO. FT. ® GROUT WATER HEATER DRINKING FOUNTAIN. WALL SQ. FT. FINAL INSP. BOND BEAM WATER SYSTEM URINAL SQ. FT. GRADING cu. yd. plus x$ =$ ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES O� To Q�✓JLv l� (� WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET` COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER. B.T.U. SQ. FT. ® c BATH TUB SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 1% c SEWAGE DISPOSAL ,//MESH /y gLG4NSULATION/SOUND SQ.FT.GAR ® V4c HOUSE SEWER FINISH GRADING GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK OUND PLU BjW-,, UNDERGROUND A.C. UNIT COLL AREA S B GRADES - ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ER OR SAIi�U ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. ':3—/ �C� AS (ROU . 2 -q METER LOOP HEATING (FINAL) OTHER APPJEQUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. plus x$ =$ LUMBER GR. FINAL INSP. `FRAMING (T- !Z 7(i�- FINAL INSP. ROOFING l v�/J V v O� To Q�✓JLv l� (� d /� I/ — Of�� /J$ 6T-1-1 /�I/� REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING ,//MESH /y gLG4NSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS GARDEN WALL FINAL